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>Journals >Salud Mental >Year 2016, Issue 3

Esquivias-Zavala H, Reséndiz-Barragán AM, García F, Elías-López D
La salud mental en el paciente con obesidad en protocolo para cirugía bariátrica
Salud Mental 2016; 39 (3)

Language: Español
References: 82
Page: 165-173
PDF: 176.36 Kb.

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Background The association between obesity and psychopathology is well known. However, the presence of psychopathology in patients with morbid obesity who attend bariatric surgery and its impact in weight loss has been less studied.
Objective To perform a theme update about the general context of psychiatric disorders associated with morbid obesity, and to assess the impact of such disorders in patients undergoing bariatric surgery.
Method EBSCO Research Database and PubMed databases were consulted. Articles published between 2011 and today were selected. Key words related to the topic of study were used.
Results The studies reviewed showed five psychopathological clinical entities with high prevalence in patients who attend bariatric surgery: Depression and anxiety, attention deficit hyperactivity disorder, disorders of eating behavior, substance abuse, and some dimensions of personality. The presence of these disorders was associated to a poor post-surgical weight loss.
Discussion and conclusion Binge eating disorder and substance abuse impact on weight loss after bariatric surgery is controversial. The evaluation of obese patients who attend bariatric surgery must emphasize, according with reported disorders prevalence, the identification of depression, anxiety and attention deficit hyperactivity disorder.

Key words: Mental health, morbid obesity, bariatric surgery, weight loss, psychopathology, depressive disorder.


  1. World Health Organization. [Sede Web] Obesity and overweight fact sheet no 311. 2015; [marzo 2016]. http://www.who.int/mediacentre/ factsheets/fs311/en/.

  2. Bray GA, Frühbeck G, Ryan DH, Wilding JP. Management of obesity. Lancet 2016. doi:10.1016/S0140-6736(16)00271-3

  3. Aguilar-Salinas CA. Non communicable chronic diseases, the main health problem in Mexico. Salud Publica Mex 2013;55(suppl 2):347-350.

  4. Barquera S, Campos-Nonato I, Hernández-Barrera L, Pedroza A et al. Prevalence of obesity in Mexican adults 2000-2012. Salud Publica Mex 2013;55(suppl. 2):151-160.

  5. Wang Y, Wu Y, Wilson RF et al. Childhood obesity prevention programs: comparative effectiveness review and meta-analysis. Comparative effectiveness review. AHRQ 2013;115.

  6. Christian JG, Tsai AG, Bessesen DH. Interpreting weight losses from lifestyle modification trials: using categorical data. Int J Obes 2010;34(1):207-209.

  7. Patel D. Pharmacotherapy for the management of obesity. Metabolism. 2015;64(11):1376-1385.

  8. Héctor RT. El papel de las opciones quirúrgicas de tratamiento. En: Juan Ángel Rivera Dommarco MH (eds.). Obesidad en México: recomendaciones para una política de Estado. México: Universidad Nacional Autónoma de México; 2012.393-410.

  9. Rivera Dommarco JÁ, Obesidad en México: recomendaciones para una política de Estado. México: Universidad Nacional Autónoma de México; 2012.

  10. Buchwald H Bariatric surgery world-wide 2003. Obes Surg 2004;14(9): 1157-1164.

  11. Grothe KB, Psychological assessment and management of the weight loss surgery patient. Am J Med Sci 2006;331(4):201-206.

  12. Carpiniello B. Obesity and psychopathology. A study of psychiatric comorbidity among patients attending a specialist obesity unit. Epidemiol Psichiatr Soc 2009;18(2):119-127.

  13. Scott KM. Obesity and mental disorders in the general population: results from the world mental health surveys. Int J Obes 2008;32(1):192-200.

  14. Walker EA. Adult health status of women with histories of childhood abuse and neglect. Am J Med. 1999; 107: 332-339.

  15. Álvarez JPJ. The relationship between child abuse and obesty among California women. Am J Prev Med 2007;33:28-33.

  16. Fried MHV. Interdisciplinary European guidelines on surgery of severe obesity. Obes Facts 2008;1:52-59.

  17. Mechanick JKR. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical guidelines. Surg Obes Relat Dis 2008;4:109-184.

  18. Pull CB. Current psychological assessment practices in obesity surgery programs: what to assess and why. Curr Opin Psychiatry. 2010;23:30-36.

  19. LeMont DMM. Suggestions for the presurgical psychological assessment of bariatric surgery candidates. American Society Bariatric Surgery 2004;1-29.

  20. Tsuda SBL. Factors affecting rejection of bariatric patients from an academic weight loss program. Surg Obes Relat Dis 2009;5:199-202.

  21. Medina-Mora ME. Prevalencia de trastornos mentales y uso de servicios: Resultados de la Encuesta Mexicana de Epidemiología Psiquiátrica en México. Salud Ment 2003;26(4):1-16.

  22. Santoncini CU. Determinantes Psicosociales del sobrepeso y la obesidad. En: Juan Ángel Rivera Dommarco MH (ed.). Obesidad en México: recomendaciones para una política de Estado. México: Universidad Nacional Autónoma de México; 2012; pp.189-209.

  23. Legenbauer T, de Zwaan M, Benecke A, Mühlhans B et al. Depression and anxiety: Their predictive function for weight loss in obese individuals. Obes Facts 2009;2:227-234.

  24. Rutters FNA-P. Acute stress-related changes in eating in the absence of hunger. Obes 2009;17(1):72-77.

  25. Ma JXL. Obesity and depression in US women: results from the 2005- 2006 National Health and Nutritional Examination Survey. Obes 2010;18(2):343-353.

  26. Eisenberg ME. Associations of weight-based teasing and emotional well-being among adolescents. Arch Pediatr Adolesc Med 2003;157:733-788.

  27. Murphy JM. Obesity and weight gain in relation to depression: findings from the Stirling Country Study. Int J Obes 2009;33(3):335-341.

  28. Mukamal KJ. BMI and risk factors for suicide: why is BMI inversely related to suicide? Obes 2009;17(3):532-538.

  29. Bhatti JA, Nathens AB, Thiruchelvam D, Grantcharov T et al. Selfharm emergencies after bariatric surgery: a population-based cohort study. JAMA Surg 2016;151(3):226-232. doi:10.10001|jamasurg. 2015.3414

  30. Knop J, Fisher A. Duodenal ulcer, suicide, psychopatology and alcoholism. Acta Psychiatr Scand 1981;63:346-355.

  31. Ostlund MP, Backman O, Marsk et al. Increased admission for alcohol dependence after gastric bypass surgery compared with restrictive bariatric surgery. JAMA Surg 2013;148:374-377.

  32. Mitchell JE, Crosby R, de Zwaan M et al. Possible risk factors for increased suicide following bariatric surgery. Obes (Silver Spring) 2013;21:665-672.

  33. Andrews ZB. The extra-hypothalamic actions of ghrelin on neuronal function. Trensa Neurosci 2011;34: 31-40.

  34. Altfas JR. Prevalence of attention deficit/hyperactivity disorder among adultd in obesity treatment. BMC Psychiatry 2002;2(9):1-8. doi:10.81186|1471-244x-2-9

  35. Samuele Cortese MA. Obesity in men with childhood ADHD: A 33-year controlled, prospective, follow-up Study. Pediatrics 2013. doi:10.1542/peds.2012-0540

  36. Cortese S. Obesity and ADHD: Clinical and neurobiological implications. Curr top Behav Neurosci doi:10.1007/7854_2011_154,

  37. Agranat-Meged A. Attention deficit hyperactivity disorder in obese melanocortin-4-receptor (MC4R) deficient subjects: a newly described expression of MC4R deficiency. Am J Med Genet B Neuropsychiatr Genet 2008;15:47-53.

  38. Albayrak Ö. Successful methylphenidate treatment of early onset extreme obesity in a child with a melanocortin-4 receptor gene mutation and attention deficit/hyperactivity disorder. Eur J Pharmacol 2011;660(1):165-170.

  39. Pott W. Successful treatment with atomoxetine of adolescent boy with attention/deficit/hyperactivity disorder, extreme obesity, and reduced melanocortin-4-receptor function. Obes Facts 2013;6(1):109- 115.

  40. Faraone SV. Long-term effects of extended-release mixed amphetamine salts treatment of attention-deficit/hyperactivity disorder on growth. J Child Adolesc Psychopharmacol 2005;15:191-202.

  41. Volkow ND. Reward, dopamine and the control of food intake: implications for obesity. Trends Cogn Sci 2011;15(1):37-46.

  42. Davis C. Psychobiological traits in the risk profile for overeating and weight gain. Int J Obe. 2009;33:49-53.

  43. Davis C. A psycho-genetic study of associations between the symptoms of binge eating disorder and those of attention deficit (hyperactivity) disorder. J Psychiatr Res 2009;43(7):687-696.

  44. Seitz J. The role of impulsivity, inattention and comorbid ADHD in patients with bulimia nervosa. PLoS One 2013;20(8):1-8 e63891.

  45. Docet MF. Attention deficit hyperactivity disorder increases the risk of having abnormal eating behaviours in obese adults. Eat Weight 2012;17(2):132-136.

  46. de Zwaan M. Binge eating disorder and obesity. Int J Obes Suppl 2001;25:S51-S55.

  47. Altfas JR. Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment. BMC Psychiatry 2009:13.

  48. Alfonsson S. Screening of adult ADHD among patients presenting for bariatric surgery. Obes Surg 2012; 22(6):918-926.

  49. Goodman DW. The consequences of attention-deficit/hyperactivity disorder in adults. J Psychiatr Pract 2007;13:318-327.

  50. Sven Alfonsson TP. Screening of adult ADHD among patients presenting for bariatric surgery. Obes Surg 2012;22:918-926.

  51. Karlsson J. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 2007;31:1248-1261.

  52. Burgmer RI. Psychological outcome two years after restrictive bariatric surgery. Obes Surg 2007;17:785-791.

  53. Levy LD. Treatment of refractory obesity in severely obese adults following management of newly diagnosed attention deficit hyperactivity disorder. Int J Obes 2009;33(3):326-334.

  54. Carlos M. Grilo. Binge eating and self-esteem predict body image dissatisfaction among obese men and women seeking bariatric surgery. Int J Eat Disord 2005;37:347–351.

  55. Monteleone P. Dysfunctions of leptin, ghrelin, BDNF and endocannabinoids in eating disorders: Beyond the homeostatic control of food intake. Psychoneuroendocrinology 2013;38:312-330.

  56. Palma-Coca O. Association of socioeconomic status, problem behaviors, and disordered eating in Mexican adolescent: Results of the Mexican National Health and Nutrition Survey 2006. J Adoles Health 2011;49(4):400-406.

  57. Psiquiatría AA. Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM V. Washington: Arlington; 2014.

  58. Niego HS. Binge eating in the bariatric surgery population: A review of the literature. Int J Eat Disord 2007;40:349-359.

  59. Hsu LK. Eating disturbances before and after vertical banded gastroplasty: A pilot study. Int J Eat Disord 1996;19:23-34.

  60. Lang T. Impact of gastric banding on eating behavior and weight. Obes Surg 2002;12:100-107.

  61. Mitchell JE, Hatsukami D, Eckert ED, Pyle RL. Eating disorders questionnaire. Psychopharmacol Bull 1985;21:1025-1043.

  62. Saunders R. Binge eating in gastric bypass patients before surgery. Obes Surg 1999;9:72-76.

  63. Kalarchian MA. Binge eating among gastric bypass patients at longterm follow-up. Obes Surg 2002; 12:270-275.

  64. Busetto L, Segato G, De LM et al. Weight loss and postoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding. Obes Surg 2005;15:195- 201.

  65. LaShanda RJC. Axis i psychopathology in bariatric surgery candidates with and without binge eating disorder: Results of structured clinical interviews. Obes Surg 2012;22(3):389-397.

  66. De Zwaan M. Binge eating disorder. Ther Umsch 2016;63(8):529-533.

  67. Faiburn CG. Risk factors for binge eating disorder: a community-based, case-control study. Arch Gen Psychiatry 1998;55(5):425-432.

  68. Conceicão E. Eating disorders after bariatric surgery: A case series. Int J Eat Disord 2013;46:274-279.

  69. Kofman MD. Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: Results of an Internet survey. Obes 2010;18:1938-1943.

  70. Wadden TA. Binge eating disorder and the outcome of bariatric surgery at one year: A prospective, observational study. Obesity (Silver Spring) 2011;19(6):1220-1228.

  71. Quevedo Y. Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico. Rev Med 2015;143:116-119.

  72. Conason A. Substance use following bariatric weight loss surgery. JAMA Surg 2013;148(2):145-150.

  73. Wee ChC. High risk alcohol use after weight loss surgery. Surg Obes Relat Dis 2014;10(3):508-513.

  74. Rummell ChM. Assessing marijuana use in bariatric surgery candidates: Should it be a contraindication? Obes Surg 2014;24:1764-1770.

  75. Choy JY, Scarborough TK. Stroke and seizure following a recent laparoscopic Roux-en- Y gastric bypass. Obes Surg 2004;14:857-860.

  76. Gerlach G, Herpetz S, Loeber S. Personality traits and obesity: a systematic review. Obes Rev 2015;16:32-63.

  77. Flynn KE, Smith MA. Personality and health care decision-making style. J Gerontol B Psychol Sci Soc Sci 2007;62:261-267.

  78. Bogg T, Roberts BW. Conscientiousness and health-related behavior: a meta-analysis of the leading behavioral contributors to mortality. Psychol Bull 2004;130:887-919.

  79. Caspi A, Roberts BW. Personality development across the life course: the argument for change and continuity. Psychol Inq 2001;12:49-66.

  80. Magiakou MA, Chrousos GP. Biological basis of stress-related diseases. En: Antoniou ASG, Cooper CL (eds.). Research companion to organizational health psychology. Cheltenham: Edward Elgar; 2005; pp.70-86.

  81. Jokela M, Hintsanen M, Hakulinen C et al. Association of personality with the development and persistence of obesity: a meta-analysis based on individual-participant data. Obes Rev 2013;14:315-323.

  82. Claes L, Vandereycken W, Vandeputte A, Braet C. Personality subtypes in female pre-bariatric obese patients: do they differ in eating disorder symptoms, psychological complaints and coping behavior? Eur Eat Disord Rev 2013;21:72-77.

>Journals >Salud Mental >Year 2016, Issue 3

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